Adult flatfoot is defined as a flattening of the medial arch of the foot in weight-bearing and lack of a propulsive gait. The 3 lesion levels are the talonavicular, tibiotarsal and midfoot joints. The subtalar joint is damaged by the consequent rotational defects. Clinical examination determines deformity and reducibility, and assesses any posterior tibialis muscle deficit, the posterior tibial...

The usual protocol for correction of drop foot in leprosy, a consequence of damage to the common peroneal nerve, is a tendon transfer, immobilisation to heal the tendon juncture and post-operative exercises to put the transfer into use. Tarsal disintegrations have been reported in literature in drop foot patients when the transferred tendons were inserted into the bone making a drill hole to en...

The purpose of this study was to examine differences in gait mechanics between patients with acute stage II PTTD and healthy volunteers. Hindfoot and midfoot kinematics, plantar foot pressures and electromyographic (EMG) activity of the posterior tibialis, gastrocnemius, anterior tibialis and the peroneals were measured in five patients with acute stage II PTTD. Kinematics and kinetics were com...

Posterior tibial tendon dysfunction (PTTD) is an important cause of acquired pes planus that frequently observed in adults. Factors that play a role in the development of PTTD such as age-related tendon degeneration, inflammatory arthritis, hypertension, diabetes mellitus, obesity, peritendinous injections and more rarely acute traumatic rupture of the tendon. PTT is the primary dynamic stabili...

The imaging techniques available to aid the diagnosis of ruptures of tendo Achillis, the rotator cuff and the tendon of tibialis posterior in rheumatoid patients are well described. However, ruptures of tendon or muscle at other sites are uncommon and may be overlooked. Diagnosis is often made by localised tenderness, swelling and a lack of active movement associated with a palpable defect. Cli...

Introduction The heel rise test is commonly used as a strength test for the triceps surea muscle group but has also become widely used as a functional task to aid in the diagnosis of Posterior Tibial Tendon Dysfunction (PTTD) [1,2]. Although failure to invert the hindfoot during the heel rise test is reported to be a sign of failure in the posterior tibial muscle, posterior tibialis function ma...

Acute dislocation of the posterior tibial tendon is an infrequent injury that often missed. This typically observed in young individuals course sports. a case athlete who presented to our orthopedic clinic week after his ankle, following forceful eversion foot during football game. Case reports have shown satisfactory results from surgical management, suggesting this preferred treatment option....

Chronic medial knee instability is frequently due to a combination of superficial medial collateral ligament (sMCL) and posterior oblique ligament (POL) insufficiency. We present a new technique for simultaneous anatomical reconstruction of sMCL and POL, using an anterior tibialis tendon allograft with three reconstruction tunnels.

Several procedures are available for the treatment of posterior tibialis tendon dysfunction. The procedure that is chosen for a specific patient should address the patient's unique problem and make biomechanical sense. A fusion should be avoided, if possible; however, if a fusion is the appropriate solution, one should not hesitate to do it.